Maxillary overdentures supported by four implants had similar success to those supported with six implants in short term.

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Stability problems and lack of retention are problems that edentulous patients often report.  The implant-supported denture is one approach to address these problems.  The aim of this trial was to compare the outcomes of maxillary overdentures supported by four or six dental implants in patients in the anterior part of the maxilla. Adult edentulous patients [read the full story…]

Study suggests that systemic antibiotics are not necessary for single dental implant placement

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The use of systemic antibiotics during dental implant placement has been controversial, with some authors claiming higher survival rates with peri-operative antibiotic use.  The aim of this multi-centre trial was to assess the effect of various systemic antibiotic prophylaxis regimes on patient- reported outcomes and postsurgical complications in patients undergoing conventional implant placement. Following establishment [read the full story…]

Critical summary from the American Dental Association Center for Evidence-based Dentistry

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This new critical summary is of a 2011 review by Pommer et al that compared survival rates of shorter dental implants (see Dental Elf 18th July 2011). The reviewer highlights a number of methodological shortcomings in the review. Only English language articles were included and outcomes were reported on an implant rather than a patient [read the full story…]

Lack of evidence to highlight differences in peri-implant bone loss between cement and screw retained prosthesis

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Peri-implant bone loss is one parameter used to evaluate the success of dental implants.  The aim of this review was to compare peri-implant bone loss between cement and screw retained prosthesis. The Medline, SCOPUS, ISI Web of Knowledge and Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched. Five journals were hand searched. Randomised [read the full story…]

Latest critical summaries from the American Dental Association Center for Evidence-based Dentistry

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Two new critical summaries are now available from the ADA-EBD website. First is a summary of a 2012 systematic review by Zandbergen et al that looked the systemic administration of amoxicillin and metronidazole as an adjunct to scaling and root planning (Dental Elf 25th May 2012). The review notes that there was no comparison in [read the full story…]

Critical summaries from the American Dental Association-Center for Evidence-based Dentistry-Jan 2013

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A number of new critical summaries have been made available on the ADE-EBD website of the past few weeks. The first is an appraisal of a 2010 review by Martínez-Maestre et al. that looked at the association between dental bone loss and systemic osteoporosis.  The reviewer highlighted that this was a weak review of observational [read the full story…]

Limited review suggests no difference in survival rates for calcium phosphate-coated dental implants and non-coated implants

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The use of dental implants has become relatively common and systematic reviews have shown good survival rates for a number of implant systems. However, there is a profusion of systems available with a range of surface modifications.  The main aim of this review was to evaluate the long-term survival data of calcium phosphate-coated dental implants [read the full story…]

Review finds low quality evidence for treatments of partial edentulism

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This review is from the same team that conducted the study we looked at yesterday (Dental Elf 28th Nov 2012) looking at treatments for edentulism. The aim of this review was to identify and critically appraise published studies of treatment methods used in general practice to rehabilitate adult patients with single tooth loss or partial [read the full story…]

Double crown tooth abutments and dentures demonstrated a wide range of survival rates

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Double crown reconstructions provide the possibility of restoring a dentition using a few remaining teeth located in unfavorable positions for other prosthetic approaches Although they require high precision from both the dental technician and clinician. The aim of this review was to systematically screen the literature for data related to the survival and complication rates [read the full story…]

Study suggests short-term benefit for flapless placement of implants

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While flapless placement of dental implants is considered to have advantages over flap based procedures there are potential disadvantages in the ability to visualise anatomic structures, contour bone and readily irrigate to prevent osseous damage.  The aim of this study was to compare the placement of flapped vs. flapless dental implants utilizing clinical, radiographic, microbiological, [read the full story…]